Chapter
How to Know Your Baby Is Getting Enough Milk
Challenge: Low Milk Supply
Challenge: Oversupply of Milk
Challenge: Breast Infection (Mastitis)
CHALLENGE: FUNGAL INFECTIONS
Challenge: Nursing Strike
CHALLENGE: INVERTED, FLAT, OR VERY LARGE NIPPLES
Should I Supplement with Formula?
Does My Baby Need Cereal or Water?
Is It Okay for My Baby to Use a Pacifier?
Is My Baby Getting Enough Vitamin D?
When Should I Wean My Baby?
Is It Safe to Smoke, Drink, or Use Drugs?
Can I Breastfeed If I Am Sick?
What Should I Do If I Have Postpartum Depression?
Will My Partner Be Jealous If I Breastfeed?
Do I Have to Restrict My Sex Life While Breastfeeding?
Do I Still Need Birth Control If I Am Breastfeeding?
I Heard That Breast Milk Can Have Toxins in It from My Environment. Is It Still Safe for My Baby?
Does My Breastfed Baby Need Vaccines? Is It Safe for Me to Get a Vaccine When I’m Breastfeeding?
What Should I Do If My Baby Bites Me?
What Do I Do If My Baby Keeps Crying?
BREASTFEEDING A BABY WITH HEALTH PROBLEMS
Cleft Palate and Cleft Lip
Premature and/or Low Birth Weight
BREASTFEEDING AND SPECIAL SITUATIONS
Breastfeeding During Pregnancy
Breastfeeding After Breast Surgery
Adoption and Inducing Lactation
Tips for Thawing and Warming up Milk
During Your Maternity Leave
Get a Quality Breast Pump
Find a Private Place to Express Milk
Can A Baby Be Allergic to Breast Milk?
QUESTIONS TO ASK YOUR BABY’S DOCTOR
QUESTIONS TO ASK YOUR HEALTHCARE PROVIDER
Chapter 2: THE SURGEON GENERAL’S CALL TO ACTION TO SUPPORT BREASTFEEDING
MESSAGE FROM THE SECRETARY,U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
FOREWORD FROM THE SURGEON GENERAL,U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
THE IMPORTANCE OF BREASTFEEDING
ENDORSEMENT OF BREASTFEEDING AS THE BEST NUTRITION FOR INFANTS
FEDERAL POLICY ON BREASTFEEDING
DISPARITIES IN BREASTFEEDING PRACTICES
BARRIERS TO BREASTFEEDING IN THE UNITED STATES
POOR FAMILY AND SOCIAL SUPPORT
EMPLOYMENT AND CHILD CARE
BARRIERS RELATED TO HEALTH SERVICES
BREASTFEEDING FROM THE PUBLIC HEALTH PERSPECTIVE
Mothers and Their Families
RESEARCH AND SURVEILLANCE
PUBLIC HEALTH INFRASTRUCTURE
MOTHERS AND THEIR FAMILIES
Action 1. Give mothers the support they need to breastfeedtheir babies
Action 2. Develop Programs to Educate Fathers and Grandmothers About Breastfeeding
Action 3. Strengthen Programs That Provide Mother-to-mother Support and Peer Counseling
Action 4. Use Community-Based Organizations to Promoteand Support Breastfeeding
Action 5. Create a National Campaign to Promote Breastfeeding
Action 6. Ensure That the Marketing of Infant Formula Is Conducted in a Way That Minimizes Its Negative Impacts on Exclusive Breastfeeding
Action 7. Ensure That Maternity Care Practices Throughout The United States Are Fully Supportive of Breastfeeding
Action 8. Develop Systems to Guarantee Continuity of Skilled Support for Lactation Between Hospitals and Health Care Settings in the Community
Action 9. Provide Education and Training in Breastfeedingfor All Health Professionals Who Care for Women and Children
Action 10. Include Basic Support for Breastfeeding as a Standard of Care for Midwives, Obstetricians, Family Physicians, Nurse Practitioners, and Pediatricians
Action 11. Ensure Access to Services Provided by International Board Certified Lactation Consultants
Action 12. Identify and Address Obstacles to Greater Availability of Safe Banked Donor Milk for Fragile Infants
Action 13. Work Toward Establishing Paid Maternity Leavefor All Employed Mothers
Action 14. Ensure That Employers Establish and Maintain Comprehensive, High-Quality Lactation Support Programs for Their Employees
Action 15. Expand the Use of Programs in the Workplace that Allow Lactating Mothers to Have Direct Access to Their Babies
Action 16. Ensure That All Child Care Providers Accommodate the Needs of Breastfeeding Mothers and Infants
RESEARCH AND SURVEILLANCE
Action 17. Increase Funding of High-Quality Researchon Breastfeeding
Action 18. Strengthen Existing Capacity and Develop Future Capacity for Conducting Research on Breastfeeding
Action 19. Develop a National Monitoring System to Improve the Tracking of Breastfeeding Rates as Well as the Policies and Environmental Factors That Affect Breastfeeding
PUBLIC HEALTH INFRASTRUCTURE
Action 20. Improve National Leadership on the Promotion and Support of Breastfeeding
APPENDIX 1. ACTIONS TO IMPROVE BREASTFEEDING.MOTHERS AND THEIR FAMILIES
Action 1. Give Mothers the Support They Need to Breastfeed Their Babies
Action 2. Develop Programs to Educate Fathers and Grandmothers About Breastfeeding
Action 3. Strengthen Programs That Provide Mother-to-mother Support and Peer Counseling
Action 4. Use Community-Based Organizations to Promote and Support Breastfeeding
Action 5. Create a National Campaign To Promote Breastfeeding
Action 6. Ensure That the Marketing of Infant Formula Is Conducted in a Way That Minimizes Its Negative Impacts on Exclusive Breastfeeding
Action 7. Ensure That Maternity Care Practices Throughout the United States Are Fully Supportive of Breastfeeding
Action 8. Develop Systems to Guarantee Continuity of Skilled Support for Lactation Between Hospitals and Health Care Settings in the Community
Action 9. Provide Education and Training in Breastfeeding for All Health Professionals Who Care for Women and Children
Action 10. Include Basic Support for Breastfeeding As a Standard of Care for Midwives, Obstetricians, Family Physicians, Nurse Practitioners, and Pediatricians
Action 11. Ensure Access to Services Provided by International Board Certified Lactation Consultants
Action 12. Identify and Address Obstacles to Greater Availability of Safe Banked Donor Milk for Fragile Infants
Action 13. Work Toward Establishing Paid Maternity Leavefor All Employed Mothers
Action 14. Ensure That Employers Establish and Maintain Comprehensive, High-Quality Lactation Support Programsfor Their Employees
Action 15. Expand the Use of Programs in the Workplace That Allow Lactating Mothers to Have Direct Access to Their Babies
Action 16. Ensure That All Child Care Providers Accommodate the Needs of Breastfeeding Mothers and Infants
RESEARCH AND SURVEILLANCE
Action 17. Increase Funding of High-Quality Research on Breastfeeding
Action 18. Strengthen Existing Capacity and Develop Future Capacity for Conducting Research on Breastfeeding
Action 19. Develop a National Monitoring System to Improve the Tracking of Breastfeeding Rates as Well as the Policies and Environmental Factors That Affect Breastfeeding
PUBLIC HEALTH INFRASTRUCTURE
Action 20. Improve National Leadership on the Promotion and Support of Breastfeeding
APPENDIX 2. EXCESS HEALTH RISKS ASSOCIATEDWITH NOT BREASTFEEDING
APPENDIX 3. DEVELOPMENT OF THE CALL TO ACTION
PARTICIPANTS ON THE EXPERT PANEL
April 28–29, 2009: Washington, DC
PARTICIPANTS AT STAKEHOLDER HEARINGS JULY 30, 2009: ARLINGTON, VIRGINIA
August 13, 2009: Atlanta, Georgia
APPENDIX 4. ABBREVIATIONS AND ACRONYMS
Chapter 3: THE SURGEON GENERAL’S CALL TO ACTION TO SUPPORT BREASTFEEDING FACT SHEET
How Many American Women Breastfeed Their Babies?
What Are the Health Benefits of Breastfeeding?
What Are the Economic Benefits of Breastfeeding?
What Obstacles Do Mothers Encounter When They Attemptto Breastfeed?
What Can the Health Care Community Do?
What Can Community Leaders Do?
What Can Families and Friends of Mothers Do?
What Can Policymakers Do?
Chapter 4: BREASTFEEDING REPORT CARD ––UNITED STATES, 2011
HOW CAN STATES USE THE REPORT CARD TO IMPROVE BREASTFEEDING RATES?
Breastfeeding Rates from the U.S. National Immunization Survey
Support in Child Care Settings
In Support of Breastfeeding
( Womens Issues )
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